Osolo Emergency Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0166 Issued in IN

Legal business name

OSOLO EMERGENCY MEDICAL SERVICES INC

Practice address

25600 County Road 4
Elkhart, IN 46514-5947

Phone

(574) 262-3052

Fax

(574) 262-8672

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Julie A Calloway, PARAMEDIC

Title

Assist Director/Billing Coordinator

Phone

(574) 262-3052

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1700911591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25600 COUNTY ROAD 4",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145947",
            "telephone_number": "574-262-3052",
            "fax_number": "574-262-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 COUNTY ROAD 4",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145947",
            "telephone_number": "574-262-3052",
            "fax_number": "574-262-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSOLO EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSIST DIRECTOR/BILLING COORDINATOR",
        "authorized_official_telephone_number": "574-262-3052",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000217448",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melitza Ortega
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• Orthopedic and Sports Medicine Center of Northern Indiana, Inc.
• Christina Ortiz
• Natalie Ortiz
• Osolo Fire & EMS Inc.
• Osolo Occupational Medicine PC
• Mia Osoria
• Ossip Optometry, P.C
• Myra J. Oswald, ANP

• All providers in Elkhart, IN
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.